Picture: Earth Globe in Hands

National Alliance for Partnerships in Equity Education Foundation
P.O. Box 369, Cochranville, PA 19330
Phone: 610-593-8038 Fax: 610-593-7283
Email: NAPE@napequity.org
Funded by the National Science
Foundation HRD-0734056

Request for Expert Assistance

( All fields are required. )

Requestor Information

Name:
Title:
Organization:
Address:
City:
State:
Zip Code:
Phone:
Fax:
E-mail:  
Website:
Name of Expert requested:
Describe type of assistance needed:
Date assistance needed:
Length of time:
Location:
Audience (type and number):
Expected impact of the assistance:

If this is for a particular event, include the event information.

Name of event:
Sponsoring organization:
Brief description of event:
Date:
City:
State:
Website for more information:
Any other information that is pertinent to this request:

Please e-mail any documents, flyers, or materials that will help us in reviewing this request by e-mailing them to us. Please include information in your e-mail to identify you.